Debra Reformat

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

279309 Issued in CA

Practice address

508 Heather Falls CT
Roseville, CA 95678-3423

Phone

(916) 358-0201

NPI assigned

Apr 14, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1306162425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7795 ANTELOPE RD",
            "address_2": "APT. 25",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102365",
            "telephone_number": "916-358-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HEATHER FALLS CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783423",
            "telephone_number": "916-358-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFORMAT",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277469-1",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "279309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Reeder
• Keby Reese, MSW
• Christine Reeves, ASW
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation
• Reeves, DDS and Lavalley, DDS, a Dental Corporation
• Sierra Regadanz
• Regency Eye Care, Inc.
• Regents of the University of California
• Rehabwise Physical Therapy, PC
• Reichardt & McHale Chiropractic Inc.

• All providers in Roseville, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.